Prospective Study
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Aug 14, 2017; 23(30): 5610-5618
Published online Aug 14, 2017. doi: 10.3748/wjg.v23.i30.5610
Incidents and adverse events of endoscopic ultrasound-guided fine-needle aspiration for pancreatic cystic lesions
Chen Du, Ning-Li Chai, En-Qiang Linghu, Hui-Kai Li, Yu-Fa Sun, Wei Xu, Xiang-Dong Wang, Ping Tang, Jing Yang
Chen Du, Ning-Li Chai, En-Qiang Linghu, Hui-Kai Li, Xiang-Dong Wang, Ping Tang, Jing Yang, Department of Gastroenterology and Hepatology, Chinese PLA General Hospital, Beijing 100853, China
Yu-Fa Sun, Wei Xu, Department of Health Care, Central Guard Bureau, Beijing 100034, China
Author contributions: Chai NL, Linghu EQ and Li HK designed the research; Du C, Chai NL, Linghu EQ, Li HK, Sun YF, Xu W, Wang XD, Tang P and Yang J performed the research; Du C analyzed the data; and Du C wrote the paper.
Institutional review board statement: The clinical trial described in this paper was reviewed and approved by the Committee of Medical Ethics of Chinese PLA General Hospital.
Clinical trial registration statement: The study is registered at http://www.chictr.org.cn/showproj.aspx?proj=10604. The registration identification number is ChiCTR-OOC-15006118.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: There are no conflicts of interest in relation to this manuscript.
Data sharing statement: There are no additional data available in relation to this manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: En-Qiang Linghu, MD, Department of Gastroenterology, Chinese PLA General Hospital, No. 28, Fuxing Road, Haidian District, Beijing 100853, China. linghuenqiang@vip.sina.com
Telephone: +86-10-68182255-499292 Fax: +86-10-55499292
Received: April 15, 2017
Peer-review started: April 15, 2017
First decision: June 1, 2017
Revised: June 12, 2017
Accepted: June 18, 2017
Article in press: June 19, 2017
Published online: August 14, 2017
Core Tip

Core tip: Incidents are self-limiting and do not change therapy. Adverse events (AEs) of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) have attracted attention, whereas incidents are almost ignored. Although incidents do not interfere with procedures and treatment, documenting them might improve procedural quality and prediction of AEs. Our study was designed to evaluate the diagnostic value and safety mainly regarding incidents of EUS-FNA. We found the accuracy of EUS-FNA in differentiating benign and malignant lesions and characterizing pancreatic cystic lesions subtype was high. The AE rate was low, however procedure-related incidents are common and should be paid attention to.